Please enable JavaScript in your browser to complete this form.Employer Details Your Company Details Your Name *FirstLastEmail *Phone *Company/Business Name * Personal Details of EmployeesName *FirstLastMarriedYesNoGenderGenderMaleFemalePrefer not to sayBirth DatePhone Number *E-mailAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Per Personal Birth Work & PayJob Title *DepartmentDate StartedNational Insurance Number *Number of hoursPay RateTax CodePay FrequencyWeeklyFortnightMonthlyPay MethodBankCashChequeDirectorYesNoP45- From Previous EmployementPAYE Office ReferencePAYE Office NumberContinue Student loanContinue Student LoanYesNoHow did you get PaidWeeklyMonthlyForthnight Leave DatePay to DateTax to DateTerms of EmploymentHours Per WeekWeek Notice RequiredDays Sick on Full PayRetirement AgeDays Holiday Per YearOvertime Paid: Yes/NoIf there is no P45.This is the employee's first job since last 6 April and he/she has not been receiving taxable Jobseeker's Allowance or taxable Incapacity Benefit or a state or occupational pension.This is now the employee's only job, but since last 6 April he/she has had another job, or has received taxable Jobseeker's Allowance or Incapacity Benefit. He/she does not receive a state or occupational pension.The employee has another job or receives a state or occupational pensionAdditional InformationAs an Employer, I confirm that: *I am aware of my responsibilities in relation to the workplace pension, I have read and understood the guidance provided on the link given below. I have read the workplace pension guide on the link provided here. Workplace Pension guide Submit
